Title Page

  • Conducted on

  • Name:

  • Document ID

All sections to be completed and remedial action taken.

Main Entrance 1 (Foam)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Welfare 2 (Foam)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Welfare 3 (CO2)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Welfare 4 Fire Blanket

  • Is the blanket free from clutter?

  • Does the blanket have an up to date service tag?

  • Is the blanket in it's original casing - not showing damage?

Lobby 5 (Foam)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Lobby 6 (Foam)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Production 7 o/s Freezer (Powder)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Production 8 o/s Chiller (Co2)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Production 9 Hand wash (Foam)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Production 10 Shutters (Water)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Top of Mezzanine 11 (Water)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Storage Mezzanine 12 (Water)

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Office 13 Water

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

Office 14 (Co2

  • Is the area free of clutter?

  • Is the gauge in the green zone?

  • Is the pin intact?

  • Is the seal intact?

  • Does the extinguisher have an up to date service tag?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.